爆裂性眶壁骨折所致复视的早期被动牵拉治疗

The therapy of diplopia caused by orbit blowout fracture with the method of early passivity pull

目的 探讨早期被动牵拉手法在爆裂性眶壁骨折所致复视治疗中的作用。方法 对经眼外肌和影像学检查后筛选出来的 5例爆裂性眶壁骨折所致复视采用早期被动牵拉手法治疗。结果 治疗 3～ 5天后 ,斜视均矫正 ,生活视野中复视消失 ,眼球运动基本不受限。随访 3～ 6月 ,病情无明显变化。结论 对爆裂性眶壁骨折所致复视病人有选择地进行眼球早期被动牵拉治疗 ,是一种积极且有效的方法。

Objective To study the efficacy of therapy for diplopia caused by orbit blowout fracture with the method of early passive pull.Methods extraocular muscles examination and CT scan were employed,5 patients of diplopia caused by orbit blowout fracture were chosen and were treated with early passivity pull.Results All the 5 cases were clinical cured with early passivity pull.They had been followed for 3～6 months and their situation were steady.Conclusion The therapy are effective for diplopia caused by orbit blowout fracture with the method of early passivity pull.